SANDERS TYPE III CALCANEAL FRACTURE FIXED WITH LOCKING ANGULAR PLATE, CASE REPORT

Abstract

   The calcaneus is a tarsal bone which plays a major role in transferring weight from the lower leg down through the ankle joint onto the forefoot and toes. It participates in the formation of the outer and inner longitudinal arch of the foot and has a significant role in walking and transferring body weight.

    Calcaneal fractures most often occur by jumping, falling from a height, or less often, in traffic accidents. Calcaneal fractures can be extra-articular and intra-articular. Intra-articular fractures can entirely damage joint surfaces, which results in deformity and immobility of the foot.

    Surgical procedure aims to treat the fracture by means of well performed repositioning of the fragment, renewing joint surfaces and performing osteosynthesis. Osteosynthesis implies the use of a plate and Kurschner needles, but most often we use an angular locking plate. This plate has a form and a shape of a calcaneus and a large number of holes for setting screws and consequently great possibilities for screws to be placed inside healthy bone tissue, which enables the stability of the osteosynthesis.

    The aim of this study is to present the cominutive calcaneal fracture (Sanders type III) and its osteosynthesis by the use of a locking plate.